title: Restoration of transposed great arteries to nature.
abstract: Surgical correction of transposition of the great arteries was proposed by many in the past half-century and was claimed as the anatomical correction, but the treatment of choice was ever changing. The current technique usually includes the Lecompte maneuver to bring the pulmonary bifurcation in front of the aorta. Although the ventricular-arterial connection is corrected, it is not "normal." This review describes an innovative technique to reconstruct the great arteries in spiral fashion, which is the natural relationship of the aorta and pulmonary artery. The surgical principles of nature and even distribution using autologous tissues are emphasized. The structural and functional studies of the spiral great arteries in the last 2 decades are also presented.
authors.affiliation: Department of Surgery, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan.
authors.forename: Ing-Sh
authors.initials: IS
authors.lastname: Chiu
authors.forename: Ming-Ren
authors.initials: MR
authors.lastname: Chen
authors.forename: Shu-Chien
authors.initials: SC
authors.lastname: Huang
authors.forename: Meng-Luen
authors.initials: ML
authors.lastname: Lee
authors.forename: Hsiao-En
authors.initials: HE
authors.lastname: Tsai
authors.forename: Shyh-Jye
authors.initials: SJ
authors.lastname: Chen
authors.forename: Hung-Chi
authors.initials: HC
authors.lastname: Lue
keywords: Rastelli procedure; arterial switch operation; cardiac anatomy/pathology; congenital heart surgery